Summary of the United States Implementation Guide
0.0.1 - STU 1 United States of America flag

Summary of the United States Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Composition (SOTUS)

Official URL: http://hl7.org/fhir/us/sotus/StructureDefinition/Composition-us-sotus Version: 0.0.1
Standards status: Trial-use Maturity Level: 0 Computable Name: CompositionUsSotus

Copyright/Legal: HL7 International

Clinical document used to represent the SOTUS.

SOTUS purpose.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition SOTUS composition
... meta Σ 0..1 Meta Metadata about the resource
.... profile SOΣ 0..* canonical(StructureDefinition) The conformance of this Composition to a specific SOTUS version.
ObligationsActor
MAY:able-to-populate Creator (IPS)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SOΣ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the SOTUS
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SOΣ 1..1 string The title of this patient summary. This may include information like the patient name and time generated
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SOΣ 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for section SOC 6..* BackboneElement Sections composing the SOTUS
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
ObligationsActor
SHALL:handle Consumer (IPS)
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProblems SOC 1..1 BackboneElement SOTUS Problems Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement SOTUS Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(US Core AllergyIntolerance Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement SOTUS Medication Summary Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(US Core MedicationRequest Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SOC 1..1 BackboneElement SOTUS Results Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(US Core Laboratory Result Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SOC 0..* Reference(US Core Observation Clinical Result Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SOC 0..* Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionSocialHistory SOC 1..1 BackboneElement SOTUS Social History Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse SOC 0..1 Reference(US Core Smoking Status Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SOC 1..1 BackboneElement SOTUS Vital Signs Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign SOC 0..* Reference(US Core Vital Signs Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SOC 0..1 BackboneElement SOTUS Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(US Core Immunization Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProceduresHx SOC 0..1 BackboneElement SOTUS History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(US Core Procedure Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedicalDevices SOC 0..1 BackboneElement SOTUS Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (SOTUS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionPlanOfCare SOC 0..1 BackboneElement SOTUS Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan SOC 0..* Reference(US Core CarePlan Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement SOTUS Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SOC 0..1 BackboneElement SOTUS Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement SOTUS Functional Status
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastProblems SOC 0..1 BackboneElement SOTUS History of Past Problems Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
.... section:sectionPregnancyHx SOC 0..1 BackboneElement SOTUS History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(US Core Observation Pregnancy Status Profile) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SOC 0..1 BackboneElement SOTUS Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... entry C 0..* Reference(Resource) Patient Story resources.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastProblems.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionImmunizations, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStoryA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionImmunizations, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStoryA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
sotus-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition SOTUS composition
... meta
.... profile SO 0..* canonical(StructureDefinition) The conformance of this Composition to a specific SOTUS version.
ObligationsActor
MAY:able-to-populate Creator (IPS)
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... identifier SO 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... type SO 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Required Pattern: At least the following
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
... subject SO 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
... date SO 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SO 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the SOTUS
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SO 1..1 string The title of this patient summary. This may include information like the patient name and time generated
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... mode SO 1..1 code personal | professional | legal | official
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SO 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... relatesTo
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (SOTUS))
... Slices for event 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:careProvisioningEvent SO 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Code(s) that apply to the event being documented
Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
..... period SO 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for section SO 6..* BackboneElement Sections composing the SOTUS
Slice: Unordered, Open by pattern:code
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Classification of section (recommended)
ObligationsActor
SHALL:handle Consumer (IPS)
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... section 0..0
.... section:sectionProblems SOC 1..1 BackboneElement SOTUS Problems Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... Slices for entry 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SO 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement SOTUS Allergies and Intolerances Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... Slices for entry 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SO 0..* Reference(US Core AllergyIntolerance Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement SOTUS Medication Summary Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
..... Slices for entry 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SO 0..* Reference(US Core MedicationRequest Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SOC 1..1 BackboneElement SOTUS Results Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SO 0..* Reference(US Core Laboratory Result Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SO 0..* Reference(US Core Observation Clinical Result Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SO 0..* Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionSocialHistory SOC 1..1 BackboneElement SOTUS Social History Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... Slices for entry 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse SO 0..1 Reference(US Core Smoking Status Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:alcoholUse 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SOC 1..1 BackboneElement SOTUS Vital Signs Section
Constraints: sotus-comp-1
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... Slices for entry 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign SO 0..* Reference(US Core Vital Signs Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SO 0..1 BackboneElement SOTUS Immunizations Section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... Slices for entry 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SO 0..* Reference(US Core Immunization Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProceduresHx SO 0..1 BackboneElement SOTUS History of Procedures Section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... Slices for entry 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SO 0..* Reference(US Core Procedure Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedicalDevices SO 0..1 BackboneElement SOTUS Medical Devices Section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
..... Slices for entry 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SO 0..* Reference(DeviceUseStatement (SOTUS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionPlanOfCare SO 0..1 BackboneElement SOTUS Plan of Care Section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... Slices for entry 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan SO 0..* Reference(US Core CarePlan Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:immunizationRecommendation 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionAdvanceDirectives SO 0..1 BackboneElement SOTUS Advance Directives Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
..... Slices for entry 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SO 0..1 BackboneElement SOTUS Alerts Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
..... Slices for entry 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SO 0..1 BackboneElement SOTUS Functional Status
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... Slices for entry 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
...... entry:functionalAssessment 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastProblems SO 0..1 BackboneElement SOTUS History of Past Problems Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... Slices for entry 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
.... section:sectionPregnancyHx SO 0..1 BackboneElement SOTUS History of Pregnancy Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
..... Slices for entry 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus 0..* Reference(US Core Observation Pregnancy Status Profile) A reference to data that supports this section
...... entry:pregnancyOutcome 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SO 0..1 BackboneElement SOTUS Patient Story Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
..... entry 0..* Reference(Resource) Patient Story resources.

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
sotus-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition SOTUS composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SOΣ 0..* canonical(StructureDefinition) The conformance of this Composition to a specific SOTUS version.
ObligationsActor
MAY:able-to-populate Creator (IPS)
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SOΣ 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SOΣ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the SOTUS
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SOΣ 1..1 string The title of this patient summary. This may include information like the patient name and time generated
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SOΣ 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (SOTUS))
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
..... period Σ 0..1 Period The period covered by the documentation
..... detail Σ 0..* Reference(Resource) The event(s) being documented
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SOC 6..* BackboneElement Sections composing the SOTUS
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
ObligationsActor
SHALL:handle Consumer (IPS)
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProblems SOC 1..1 BackboneElement SOTUS Problems Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement SOTUS Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(US Core AllergyIntolerance Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement SOTUS Medication Summary Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(US Core MedicationRequest Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SOC 1..1 BackboneElement SOTUS Results Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(US Core Laboratory Result Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SOC 0..* Reference(US Core Observation Clinical Result Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SOC 0..* Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionSocialHistory SOC 1..1 BackboneElement SOTUS Social History Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse SOC 0..1 Reference(US Core Smoking Status Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionVitalSigns SOC 1..1 BackboneElement SOTUS Vital Signs Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign SOC 0..* Reference(US Core Vital Signs Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionImmunizations SOC 0..1 BackboneElement SOTUS Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(US Core Immunization Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProceduresHx SOC 0..1 BackboneElement SOTUS History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(US Core Procedure Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionMedicalDevices SOC 0..1 BackboneElement SOTUS Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (SOTUS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPlanOfCare SOC 0..1 BackboneElement SOTUS Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan SOC 0..* Reference(US Core CarePlan Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement SOTUS Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAlerts SOC 0..1 BackboneElement SOTUS Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement SOTUS Functional Status
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPastProblems SOC 0..1 BackboneElement SOTUS History of Past Problems Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPregnancyHx SOC 0..1 BackboneElement SOTUS History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(US Core Observation Pregnancy Status Profile) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPatientStory SOC 0..1 BackboneElement SOTUS Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) Patient Story resources.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Composition.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionResults.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionSocialHistory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionSocialHistory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionVitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionVitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionImmunizations.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedicalDevices.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPlanOfCare.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAlerts.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAlerts.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionFunctionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionFunctionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPastProblems.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPastProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPastProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPregnancyHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPregnancyHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPatientStory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPatientStory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionImmunizations, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStoryA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionImmunizations, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStoryA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
sotus-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

This structure is derived from Composition

Summary

Mandatory: 9 elements(3 nested mandatory elements)
Must-Support: 53 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.event
  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry
  • The element 2 is sliced based on the values of Composition.section.entry

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition SOTUS composition
... meta Σ 0..1 Meta Metadata about the resource
.... profile SOΣ 0..* canonical(StructureDefinition) The conformance of this Composition to a specific SOTUS version.
ObligationsActor
MAY:able-to-populate Creator (IPS)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SOΣ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the SOTUS
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SOΣ 1..1 string The title of this patient summary. This may include information like the patient name and time generated
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SOΣ 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for section SOC 6..* BackboneElement Sections composing the SOTUS
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
ObligationsActor
SHALL:handle Consumer (IPS)
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProblems SOC 1..1 BackboneElement SOTUS Problems Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement SOTUS Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(US Core AllergyIntolerance Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement SOTUS Medication Summary Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(US Core MedicationRequest Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SOC 1..1 BackboneElement SOTUS Results Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(US Core Laboratory Result Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SOC 0..* Reference(US Core Observation Clinical Result Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SOC 0..* Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionSocialHistory SOC 1..1 BackboneElement SOTUS Social History Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse SOC 0..1 Reference(US Core Smoking Status Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SOC 1..1 BackboneElement SOTUS Vital Signs Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign SOC 0..* Reference(US Core Vital Signs Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SOC 0..1 BackboneElement SOTUS Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(US Core Immunization Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProceduresHx SOC 0..1 BackboneElement SOTUS History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(US Core Procedure Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedicalDevices SOC 0..1 BackboneElement SOTUS Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (SOTUS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionPlanOfCare SOC 0..1 BackboneElement SOTUS Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan SOC 0..* Reference(US Core CarePlan Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement SOTUS Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SOC 0..1 BackboneElement SOTUS Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement SOTUS Functional Status
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastProblems SOC 0..1 BackboneElement SOTUS History of Past Problems Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
.... section:sectionPregnancyHx SOC 0..1 BackboneElement SOTUS History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(US Core Observation Pregnancy Status Profile) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SOC 0..1 BackboneElement SOTUS Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... entry C 0..* Reference(Resource) Patient Story resources.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastProblems.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionImmunizations, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStoryA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionImmunizations, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStoryA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
sotus-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition SOTUS composition
... meta
.... profile SO 0..* canonical(StructureDefinition) The conformance of this Composition to a specific SOTUS version.
ObligationsActor
MAY:able-to-populate Creator (IPS)
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... identifier SO 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... type SO 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Required Pattern: At least the following
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
... subject SO 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... reference SO 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
... date SO 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SO 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the SOTUS
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SO 1..1 string The title of this patient summary. This may include information like the patient name and time generated
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... mode SO 1..1 code personal | professional | legal | official
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SO 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... relatesTo
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (SOTUS))
... Slices for event 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:careProvisioningEvent SO 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Code(s) that apply to the event being documented
Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
..... period SO 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... Slices for section SO 6..* BackboneElement Sections composing the SOTUS
Slice: Unordered, Open by pattern:code
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Classification of section (recommended)
ObligationsActor
SHALL:handle Consumer (IPS)
..... text SO 1..1 Narrative Text summary of the section, for human interpretation
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... section 0..0
.... section:sectionProblems SOC 1..1 BackboneElement SOTUS Problems Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... Slices for entry 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SO 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement SOTUS Allergies and Intolerances Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... Slices for entry 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SO 0..* Reference(US Core AllergyIntolerance Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement SOTUS Medication Summary Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
..... Slices for entry 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SO 0..* Reference(US Core MedicationRequest Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SO 0..1 CodeableConcept Why the section is empty
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SOC 1..1 BackboneElement SOTUS Results Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
..... Slices for entry 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SO 0..* Reference(US Core Laboratory Result Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SO 0..* Reference(US Core Observation Clinical Result Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SO 0..* Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionSocialHistory SOC 1..1 BackboneElement SOTUS Social History Section
Constraints: sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... Slices for entry 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse SO 0..1 Reference(US Core Smoking Status Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:alcoholUse 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
.... section:sectionVitalSigns SOC 1..1 BackboneElement SOTUS Vital Signs Section
Constraints: sotus-comp-1
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... Slices for entry 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign SO 0..* Reference(US Core Vital Signs Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionImmunizations SO 0..1 BackboneElement SOTUS Immunizations Section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... Slices for entry 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SO 0..* Reference(US Core Immunization Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionProceduresHx SO 0..1 BackboneElement SOTUS History of Procedures Section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... Slices for entry 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SO 0..* Reference(US Core Procedure Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedicalDevices SO 0..1 BackboneElement SOTUS Medical Devices Section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
..... Slices for entry 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SO 0..* Reference(DeviceUseStatement (SOTUS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionPlanOfCare SO 0..1 BackboneElement SOTUS Plan of Care Section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... Slices for entry 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan SO 0..* Reference(US Core CarePlan Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:immunizationRecommendation 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
.... section:sectionAdvanceDirectives SO 0..1 BackboneElement SOTUS Advance Directives Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
..... Slices for entry 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent 0..* Reference(Consent) A reference to data that supports this section
.... section:sectionAlerts SO 0..1 BackboneElement SOTUS Alerts Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
..... Slices for entry 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
.... section:sectionFunctionalStatus SO 0..1 BackboneElement SOTUS Functional Status
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... Slices for entry 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
...... entry:functionalAssessment 0..* Reference(ClinicalImpression) A reference to data that supports this section
.... section:sectionPastProblems SO 0..1 BackboneElement SOTUS History of Past Problems Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... Slices for entry 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
.... section:sectionPregnancyHx SO 0..1 BackboneElement SOTUS History of Pregnancy Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
..... Slices for entry 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus 0..* Reference(US Core Observation Pregnancy Status Profile) A reference to data that supports this section
...... entry:pregnancyOutcome 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
.... section:sectionPatientStory SO 0..1 BackboneElement SOTUS Patient Story Section
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... Slices for extension Content/Rules for all slices
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... code 1..1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
..... entry 0..* Reference(Resource) Patient Story resources.

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
sotus-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition SOTUS composition
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SOΣ 0..* canonical(StructureDefinition) The conformance of this Composition to a specific SOTUS version.
ObligationsActor
MAY:able-to-populate Creator (IPS)
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text SO 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SOΣ 0..1 Identifier Version-independent identifier for the Composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
... status ?!SOΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... type SOΣ 1..1 CodeableConceptIPS Kind of composition ("Patient Summary")
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern: At least the following
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 60591-5
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SOΣ 1..1 Reference(US Core Patient Profile) Who and/or what the composition is about
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Context of the Composition
... date SOΣ 1..1 dateTime Composition editing time
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... author SOΣ 1..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the SOTUS
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... title SOΣ 1..1 string The title of this patient summary. This may include information like the patient name and time generated
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... confidentiality Σ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
... attester SO 0..* BackboneElement Attests to accuracy of composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode SO 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... time SO 0..1 dateTime When the composition was attested
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... party SO 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... custodian SOΣ 0..1 Reference(Organization) Organization which maintains the composition
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition | Composition (SOTUS))
... Slices for event Σ 0..* BackboneElement The clinical service(s) being documented
Slice: Unordered, Open by pattern:code
.... event:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
..... period Σ 0..1 Period The period covered by the documentation
..... detail Σ 0..* Reference(Resource) The event(s) being documented
.... event:careProvisioningEvent SOΣ 0..1 BackboneElement The care provisioning being documented
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SOΣ 1..1 CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Required Pattern: At least the following
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PCPR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... period SOΣ 0..1 Period The period covered by the documentation
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section SOC 6..* BackboneElement Sections composing the SOTUS
Slice: Unordered, Open by pattern:code
Constraints: cmp-1, cmp-2
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code SO 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
ObligationsActor
SHALL:handle Consumer (IPS)
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProblems SOC 1..1 BackboneElement SOTUS Problems Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Clinical problems or conditions currently being monitored for the patient.
Slice: Unordered, Open by profile:resolve()
...... entry:problem SOC 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionAllergies SOC 1..1 BackboneElement SOTUS Allergies and Intolerances Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(AllergyIntolerance | DocumentReference) Relevant allergies or intolerances for that patient.
Slice: Unordered, Open by profile:resolve()
...... entry:allergyOrIntolerance SOC 0..* Reference(US Core AllergyIntolerance Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionMedications SOC 1..1 BackboneElement SOTUS Medication Summary Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationStatementOrRequest SOC 0..* Reference(US Core MedicationRequest Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason SOC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
ObligationsActor
SHALL:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
.... section:sectionResults SOC 1..1 BackboneElement SOTUS Results Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DiagnosticReport | DocumentReference) Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient.
Slice: Unordered, Open by type:resolve(), profile:resolve()
...... entry:results-observation-laboratory-pathology SOC 0..* Reference(US Core Laboratory Result Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-observation-radiology SOC 0..* Reference(US Core Observation Clinical Result Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:results-diagnosticReport SOC 0..* Reference(US Core DiagnosticReport Profile for Laboratory Results Reporting) A reference to data that supports this section
ObligationsActor
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionSocialHistory SOC 1..1 BackboneElement SOTUS Social History Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHALL:populate Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Health related "lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.)
Slice: Unordered, Open by profile:resolve()
...... entry:smokingTobaccoUse SOC 0..1 Reference(US Core Smoking Status Observation Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:alcoholUse C 0..1 Reference(Observation Social History - Alcohol Use (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionVitalSigns SOC 1..1 BackboneElement SOTUS Vital Signs Section
Constraints: cmp-1, cmp-2, sotus-comp-1
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Notable vital signs or physical findings.
Slice: Unordered, Open by profile:resolve()
...... entry:vitalSign SOC 0..* Reference(US Core Vital Signs Profile) A reference to data that supports this section
ObligationsActor
SHALL:able-to-populate Creator (IPS)
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionImmunizations SOC 0..1 BackboneElement SOTUS Immunizations Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Immunization | DocumentReference) Patient's immunization status and pertinent history.
Slice: Unordered, Open by profile:resolve()
...... entry:immunization SOC 0..* Reference(US Core Immunization Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionProceduresHx SOC 0..1 BackboneElement SOTUS History of Procedures Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Procedure | DocumentReference) Patient past procedures pertinent to the scope of this document.
Slice: Unordered, Open by profile:resolve()
...... entry:procedure SOC 0..* Reference(US Core Procedure Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionMedicalDevices SOC 0..1 BackboneElement SOTUS Medical Devices Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46264-8
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(DeviceUseStatement | DocumentReference) Patient history of medical device use.
Slice: Unordered, Open by profile:resolve()
...... entry:deviceStatement SOC 0..* Reference(DeviceUseStatement (SOTUS)) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPlanOfCare SOC 0..1 BackboneElement SOTUS Plan of Care Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(CarePlan | ImmunizationRecommendation | DocumentReference) Optional entry used to represent structured care plans
Slice: Unordered, Open by profile:resolve()
...... entry:carePlan SOC 0..* Reference(US Core CarePlan Profile) A reference to data that supports this section
ObligationsActor
SHOULD:populate-if-known Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
...... entry:immunizationRecommendation C 0..* Reference(ImmunizationRecommendation) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAdvanceDirectives SOC 0..1 BackboneElement SOTUS Advance Directives Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42348-3
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Consent | DocumentReference) Narrative description of the patient's advance directive.
Slice: Unordered, Open by profile:resolve()
...... entry:advanceDirectivesConsent C 0..* Reference(Consent) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionAlerts SOC 0..1 BackboneElement SOTUS Alerts Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 104605-1
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Flag | DocumentReference) Alert information.
Slice: Unordered, Open by profile:resolve()
...... entry:alertsFlag C 0..* Reference(Flag - Alert (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionFunctionalStatus SOC 0..1 BackboneElement SOTUS Functional Status
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | ClinicalImpression | DocumentReference) Optional entry used to represent disabilities and functional assessments
Slice: Unordered, Open by profile:resolve()
...... entry:disability C 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
...... entry:functionalAssessment C 0..* Reference(ClinicalImpression) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPastProblems SOC 0..1 BackboneElement SOTUS History of Past Problems Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Condition | DocumentReference) Conditions the patient suffered in the past.
Slice: Unordered, Open by profile:resolve()
...... entry:pastProblem C 0..* Reference(US Core Condition Problems and Health Concerns Profile) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPregnancyHx SOC 0..1 BackboneElement SOTUS History of Pregnancy Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10162-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Observation | DocumentReference) Current pregnancy status and, optionally, information about the outcome of earlier pregnancies.
Slice: Unordered, Open by profile:resolve()
...... entry:pregnancyStatus C 0..* Reference(US Core Observation Pregnancy Status Profile) A reference to data that supports this section
...... entry:pregnancyOutcome C 0..* Reference(Observation Pregnancy - Outcome (IPS)) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
.... section:sectionPatientStory SOC 0..1 BackboneElement SOTUS Patient Story Section
Constraints: cmp-1, cmp-2
ObligationsActor
SHOULD:display Consumer (IPS)
SHALL:handle Consumer (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:section-note 0..* Annotation Additional notes that apply to the section (but not to specific resource).
URL: http://hl7.org/fhir/StructureDefinition/note
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title SO 1..1 string Label for section (e.g. for ToC)
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81338-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text SOC 1..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ObligationsActor
SHALL:populate Creator (IPS)
SHALL:handle Consumer (IPS)
SHOULD:display Consumer (IPS)
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) Patient Story resources.
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Composition.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typepreferredPattern Value: LOINC Code 60591-5
http://hl7.org/fhir/ValueSet/doc-typecodes
From the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.event:careProvisioningEvent.codeexamplePattern Value: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProblems.codeexamplePattern Value: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAllergies.codeexamplePattern Value: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedications.codeexamplePattern Value: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionResults.codeexamplePattern Value: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionResults.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionSocialHistory.codeexamplePattern Value: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionSocialHistory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionSocialHistory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionSocialHistory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionVitalSigns.codeexamplePattern Value: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionVitalSigns.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionVitalSigns.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionVitalSigns.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionImmunizations.codeexamplePattern Value: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionImmunizations.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionImmunizations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionImmunizations.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexamplePattern Value: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionMedicalDevices.codeexamplePattern Value: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedicalDevices.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedicalDevices.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedicalDevices.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPlanOfCare.codeexamplePattern Value: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPlanOfCare.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPlanOfCare.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPlanOfCare.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.codeexamplePattern Value: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAdvanceDirectives.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAlerts.codeexamplePattern Value: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAlerts.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAlerts.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAlerts.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionFunctionalStatus.codeexamplePattern Value: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionFunctionalStatus.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionFunctionalStatus.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionFunctionalStatus.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPastProblems.codeexamplePattern Value: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPastProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPastProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPastProblems.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPregnancyHx.codeexamplePattern Value: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPregnancyHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPregnancyHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPregnancyHx.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPatientStory.codeexamplePattern Value: LOINC Code 81338-6
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPatientStory.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPatientStory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPatientStory.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionImmunizations, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStoryA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns, Composition.section:sectionImmunizations, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionPlanOfCare, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStoryA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
sotus-comp-1errorComposition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionResults, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSignsEither section.entry or emptyReason are present
: (entry.reference.exists() or emptyReason.exists())

This structure is derived from Composition

Summary

Mandatory: 9 elements(3 nested mandatory elements)
Must-Support: 53 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.event
  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry
  • The element 2 is sliced based on the values of Composition.section.entry

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron